Australian Embassy
Israel
Embassy address: Discount Bank Tower (Level 28) 23 Yehuda Halevi St. Tel Aviv 65136
CONSENT FORM TO GRANT AN AUSTRALIAN VISA TO A CHILD UNDER THE AGE OF 18 YEARS

I/We the undersigned parent(s), do hereby give permission for the following *child/children:

1. _______________________

2. _______________________

to be granted an Australian visa for the purpose of travel to Australia,

for a period of: _______________________

Name of mother: __________________
Name of father: __________________

Signature: __________________
Signature: __________________

ID No: __________________
ID No: __________________

Date: __________________
Date: __________________


*WITNESS
*WITNESS

Name: __________________
Name: __________________

ID No.: __________________
ID No.: __________________

Signature and stamp: _________________
Signature and stamp: _________________

Date: __________________
Date: __________________


*Witness must be a practicing lawyer. Please attach a certified copy of the child's birth certificate or the parents' ID cards where child's name is listed. Please do not fax the completed form. We require the original signatures.